New Online Tool Helps Providers, Payers with APM Implementation
The Health Care Payment Learning & Action Network (LAN) recently launched an interactive, online tool that aims to help providers, payers, and other healthcare stakeholders identify the challenges...Half of ACOs Consider Exiting MSSP Over New Downside Risk Rules
Accountable care organizations (ACOs) are fairly split on whether or not to exit the Medicare Shared Savings Program (MSSP) under new rules that require downside financial risk adoption sooner, a new...Participation in Advanced Bundled Payments Model Falls 16%
Provider participation in Medicare’s new advanced bundled payments model dropped by about 16 percent in the first five months, according to updated data from CMS. The federal agency recently...MIPS Participation Reached 95% in 2017, Exceeding CMS Goals
Ninety-five percent of eligible clinicians avoided a negative payment adjustment through Merit-Based Incentive Payment System (MIPS) participation in 2017, of which 93 percent earned a positive...Prescription Drug Costs Challenge Value-Based Care in Oncology
Approximately 57 percent of community oncologists in value-based care models identified prescription drug costs as their top challenge with alternative payment model success, a recent survey...Social Determinants of Health Impact Hospital Readmission Rates
New research in Health Services Research shows social determinants of health are linked to hospital readmission rates, and accounting for disability, housing instability, and other social risk factors...Value-Based Contracts with Risk 3 to 5 Years Away for Providers
Taking on upside and downside financial risk through value-based contracts is still years away, according to healthcare leaders in a recent survey conducted by HealthCare Executive Group (HCEG) and...Implementation of Risk-Based Contracts in Healthcare Stalling
A new survey of more than 500 C-suite executives showed that most organizations are still experimenting with risk-based contracts in healthcare despite having more ambitious goals for implementation by...Large, Experienced ACOs Assume Downside Financial Risk Sooner
Larger, more experienced accountable care organizations (ACOs) are more likely to assume downside financial risk, according to a recent analysis by Leavitt Partners. ACOs that took on downside...Make Value-Based Reimbursement Implementation Easier, AMGA Says
Promoting the implementation of risk- and value-based reimbursement models is key to reducing healthcare costs in the US, AMGA recently told policymakers. “The rising cost of healthcare in this...Sponsored by MD Clarity
The Benefits of a New Revenue Cycle Paradigm
Technology is enabling patients and providers to connect in an unprecedented manner. The Internet, smartphones, wearables, and other technologies are allowing for instantaneous communication between...Aligning the Medicare Physician Fee Schedule with Value
The healthcare industry is committed to moving to value-based reimbursement. However, like many transformations in healthcare, the shift away from fee-for-service has been a long journey. CMS and...Sponsored by MD Clarity
